Full Name: Status: Faculty Staff Other      

Campus Phone: Barnard email:

Computer Brand: Dell Apple Fujitsu Sony Compaq Toshiba Other If other, write:        

Model: Serial Number:

Current Operating System, including version:   

Hard disk size: RAM: Temporary Password:   

Hardware address (e.g. 00.0B.F7.04.5B.39):

Description  of request  (continue on reverse)

I understand that this operating system is known to have problems as listed at http://www.barnard.columbia.edu/at/VistaOffice07.html
and that Academic Technologies is providing very limited support for this product.

USER STATEMENTS:     This computer is:   owned by Barnard my personal computer and I am supplying the original disks

This computer is used by:  me a staff member in my department a student worker in my dept. 

I have given the Help Desk these separate parts, and they have been labeled in white.

Laptop or desktop CPU Power cord CD drive Carrying case
(List other parts in description above)

Delivered parts listed to Lehman Computer Center on Date:  

User's signature: ________________________________     

AT Staff member who accepted computer: _________________________     Laptop location: _______________

Computer and all parts picked up by user:   Date: Time:

User's signature: ________________________________